| NPI | 1912111253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA KELLEY Member 918-782-9969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OK RC1811-1811) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2009-11-20 |